Martha Bullard, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2504 Issued in OR

Practice address

1045 Willagillespie Rd
Suite 200
Eugene, OR 97401-6721

Phone

(541) 343-7171

Fax

(541) 284-1765

NPI assigned

Dec 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1376609594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "SUITE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016721",
            "telephone_number": "541-343-7171",
            "fax_number": "541-284-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD",
            "address_2": "SUITE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016721",
            "telephone_number": "541-343-7171",
            "fax_number": "541-284-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIN",
            "identifier": "1261479-9",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Ellen Buford, LMT
• Kimberly Dawn Bugarin
• James C Buie, M.D.
• Cassandra Buitron
• Jessica Bujor
• B Grace Marie Bullock, PH.D.
• Michael S Bullock, MD
• Henery Martin Bumstead, DDS
• Grady Paul Bunce, ELECTROLOGIST
• Marianne Marie Bunch, RN

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.